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01/19/2013 00:40 2094655 Bh1DSTOCKTN PAGE 02 <br /> _ -.. `,9q '�-5�1 <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> AeCOUnt-ID AROQ31466 <br /> INVOICE <br /> FacilIIY ID 1•A0017935 <br /> Date Printed 211/2013 <br /> BUILDING MATERIALS DISTRIBUTOR RE: BUILDING PMARE R' STS DISTRIBUTORS INC <br /> 225 ELM AVE 1005 <br /> GALT, CA 95632 STOCKTON,CA 9 i203 <br /> OWNER ; BUILDING MATER ALS DISTRIBUTOR <br /> �a.te Health A^ nouns <br /> Program dt351p1111 ppif II'I II `` <br /> Snvalco# IN0237801 •-•Date of invoices 2/112013 loll fNAn111mAIH <br /> 111111113 <br /> 85.00 <br /> 21112013 1920 HMSP-Common MalerialS 35.00 <br /> 2/112013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> y� Dalai for AER InVOlop $1 20.60 <br /> S� C` /. Payrene it Due Data 31312013 <br /> /� JJ �lJ TOTAL DVE this 1311IIrg Period $120.00 <br /> CO- <br /> c-, <br /> Please make Checks PAYABLE to: 'ENO' Return a Copy of This STATEMENT with Your PAYMENT <br /> For al'SERVICE FEE.3 <br /> penalties will be added to au Perrnit Fees For DES 1 added <br /> feos penalties will pr added at the Rate of 10% <br /> at the Rate c i00%w the Base Fee Penaftles w111 b9 added at eho Rate of 10% <br /> 30 Days after the Due Date 45 Day9 after the Involce Date 60 Day$after the Involer Date and each 30 Da"thereafter <br /> 5254 rpt <br />